How much rates vary
Facilitymedian $78 · 10th to 90th $66 to $129Professionalmedian $63 · 10th to 90th $35 to $100
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | None | $54.95 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $27.54 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $10.96 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $8.13 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $5.50 | $6.46 | $6.46 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $151.36 Typical High $204.17 | Professional | None | $79.43 | $151.36 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $64.57 Typical High $91.20 | Facility | None | $58.88 | $64.57 | $91.20 |
Moda Health Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $75.86 | Professional | None | $58.88 | $64.57 | $75.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $30.20 | $32.36 | $32.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.02 | $12.88 | $12.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $8.91 | $9.55 | $9.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.03 | $6.46 | $6.46 |
Pacific Source Setting Facility Modifier None Typical Low $75.86 Median $77.62 Typical High $77.62 | Facility | None | $75.86 | $77.62 | $77.62 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $87.10 Typical High $309.03 | Facility | None | $66.07 | $87.10 | $309.03 |
Providence Setting Professional Modifier None Typical Low $34.67 Median $75.86 Typical High $102.33 | Professional | None | $34.67 | $75.86 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $63.10 Median $123.03 Typical High $302.00 | Facility | None | $63.10 | $123.03 | $302.00 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $151.36 | Facility | None | $114.82 | $114.82 | $151.36 |
United Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $42.66 | Professional | None | $33.11 | $34.67 | $42.66 |
Where Oregon sits
The same service costs 2.9 times more in Montana than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oregon· 12th of 51
$64.57
MT $100AL $34.67
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.